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FlowerAmnioPatch

Montana rates for HCPCS Q4178

FlowerAmnioPatch, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $89 · 10th–90th $79$2040%20%10th90th$89Professionalmedian $98 · 10th–90th $79$1260%50%10th90th$98$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$169.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$169.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89